Leadership modules test #1

Using first impressions to guide the decision-making process is a common flaw and considered a pitfall in using decision-making tools. -TRUE -FALSE

-TRUE

The nurse manager has an obligation to act as advocate for which entities? (Select all that apply.) -The patient -The staff -Themselves -The profession -The institution

-The patient -The staff -Themselves -The profession

______________ developed a theory which included the stages unfreezing, movement, and refreezing.

Kurt Lewin

HIPAA gives the nurse leader a platform to prevent conflicts resulting from ineffective communication among staff members and patients. -TRUE -FALSE

-TRUE

Resistance to change should be expected. -TRUE -FALSE

-TRUE

The nurse leader should identify ____________ forces prior to attempting to implement change

Restraining

A nurse's license can be revoked the nurse is providing patient care while under the influence of drugs or alcohol. -TRUE -FALSE

-TRUE

Nurses should be aware of the rights and duties of legal matters so they are better able to protect: -themselves. -their patients. -their peers. -their employers.

-themselves.

Which of the following delineates the set of values and beliefs of an organization's goals and guides the development of the philosophy statement? -Purpose or mission statement -Organizational statement -Unit philosophy -Departmental philosophy and mission

-Purpose or mission statement

The primary purpose of law and legislation governing nursing practice is to protect the: -patient and the nurse -patient -nurse -health care facility

patient and the nurse

Which of these changes is likely to encounter the least resistance? -Introducing a new type of IV pump -Transferring certain staff members to a different unit -Implementing a new process for end-of-shift handoffs -Establishing interdisciplinary teams for fall prevention

-Introducing a new type of IV pump

An organization's culture can affect the decision-making process. -TRUE -FALSE

-TRUE

A nurse is caring for a patient that suddenly becomes short of breath and has a decrease in oxygen saturation to 86%. The nurse places the patient on 4 L of oxygen via nasal cannula and elevates the head of the bed. What decision tree would the nurse have used in this situation? -A decision grid -Intuitive judgment -SWOT -Consequence tables

-Intuitive judgment

The unit manager of a medical-surgical unit is transitioning the unit to electronic charting. According to Lewin's model, which of the following roles describes you as the change agent? -The unfreezer -The mover -The refreezer -The role player

-The unfreezer

A nurse educator in a college setting has developed leadership skills as a result of attaining further education and sharing positive change within the department. What transformational leadership characteristic is this nurse educator demonstrating? -Influencing others -Guiding others -Directing others -Empowering others

-Empowering others

A nurse leader is considering using transformational leadership. What information would the nurse leader need to keep in mind? -The locus of power rests with the employees. -Informal leadership is highly recognized. -Empowerment of both the leader and follower occurs. -Employees are expected to lead from their organizational position.

-Empowerment of both the leader and follower occurs.

A nurse manager is making a decision based on a problem with a staff member. What would be the optimal end product of the decision? -An alternative problem -A chosen course of action -An action that guarantees success -A restatement of the solution

-A chosen course of action

A patient can give informed consent by verbalizing understanding prior to receiving a complete explanation of medical-surgical treatment options. -TRUE -FALSE

-FALSE

A newly employed nurse is reviewing the organizational chart of the facility, observing that there is shared governance. What type of organizational chart does the nurse recognize the facility follows? -Traditional -Matrix -Flat -Magnet

-Matrix

What is the role of the change agent? -Seeks to lead or create change -Delegates the change process -Allows others to identify necessity of change -Allows resistance to change to occur

-Seeks to lead or create change

Choose other factors that may evoke resistance to change. (Select all that apply.) -Timing -Clear guidelines -Weak proposal -Anxiety -Feelings of losing control -Trust

-Timing -Weak proposal -Anxiety -Feelings of losing control

A nurse manager schedules a meeting with the staff to discuss policy changes. What does the manager hope to achieve by having some upper left-brain dominant staff members lend their input? -Creativity -An intuitive side -Logical and rational analysis -Holistic input

-Logical and rational analysis

Which of the following will derail a group decision-making process? -A leader's ability to motivate the group despite the variety of persons on the team. -A leader who has inexperience in leading a group. -A leader who does not establish clear objectives and expectations for the group. -A leader who engages all group members and values their insights.

-A leader who does not establish clear objectives and expectations for the group.

All people and organizational units that will be affected by a planned change should be included in the planning. -TRUE -FALSE

-TRUE

Last month, two nursing units were merged to save on staffing costs. The nursing manager is now inquiring among the staff about how the change is working and if any barriers remain. What stage of change is this? -Plan -Design -Integrate -Implement

-Integrate

Effective decision making is a learned behavior. -TRUE -FALSE

-TRUE

Which of the following is a decision-making tool often used by today's nurse leaders/managers for program/unit evaluation? -Flow charts -Review techniques -Program outcomes -Quarterly reports

-Flow charts

An experienced nurse using contingency theory is orienting a new graduate to the unit. What needs will the nurse meet with the new graduate using this theory? (Select all that apply.) -Coaching -Counseling -Developing -Discipline -Team-building

-Coaching -Counseling -Developing

What is the nurse's best safeguard against legal prosecution? -Collective bargaining -Written or implied contracts -Competent practice -Patient education

-Competent practice

A nurse on the acute care unit demonstrates the positive traits of a good leader when working with new employees. What trait does the nurse manager cite when performing the nurse's evaluation? a.The assigned position b.Role modeling c.Planning a unit's goals d.Decides daily patient assignments

b.Role modeling

A nurse manager is mentoring a new facilitator. What decision-making models can the manager suggest to the facilitator that will help minimize the impact of an unskilled facilitator? (Select all that apply.) -Decision grid -Decision tree -Consequence table -Payoff table -Logic model

-Decision grid -Decision tree -Consequence table -Payoff table

You are the nurse manager of a medical-surgical unit that is in need of a change in staffing rotation patterns, which will lead to major changes in how the unit is staffed. According to Lewin's Change Theory, what forces are in play to enact these changes? -Freezing forces -Restraining forces -Driving forces -Refreezing forces

-Driving forces

A nurse leader is having a discussion with a team member about changes that will be made on the unit. Which statement by the team member demonstrates the greatest problem for the leader? a.Your plans for the changes will be difficult to implement.' b.'I don't think you heard what the rest of us had to say.' c.'Do you have an idea what direction we need to go?' d.'Can you tell me why my suggestion will not work?'

b.'I don't think you heard what the rest of us had to say.'

A staff nurse informs the nurse manager that the nurse would like to gain broader experience in other departments of the acute care facility. What response by the nurse manager demonstrates effective leadership? a.'Getting broader experience isn't as valuable as specializing.' b.'I would like you to be a preceptor for the new nurse that was just hired.' c.'Would you be willing to help on another unit? They need a shift leader for a couple weeks.' d.'Would you be willing to work with one of the senior nurses for a while, until you learn how we operate here?'

c.'Would you be willing to help on another unit? They need a shift leader for a couple weeks.'

Effective nurse leaders have developed critical thinking and decision-making skills that assist with collaborative leadership. -TRUE -FALSE

-TRUE

Change should be immediately implemented if the need for change has been identified. -TRUE -FALSE

-FALSE

Which of the following competencies are important for the nurse leader to develop? -Ability to diagnose a situation, adapt, and communicate -Ability to influence a situation, suggest, and communicate -Ability to tolerate a situation, influence, and communicate -Ability to control a situation, adapt, and communicate

-Ability to diagnose a situation, adapt, and communicate

Which situations are necessary components for malpractice to occur? (Select all that apply.) -A standard of care must be in place whereby the provider has accepted duty for the patient. -The practitioner has failed to meet a standard of care, also called a 'breach of duty.' -Foreseeability of harm must exist. -A perception that patient injury may occur. -A direct connection between care given and injury must be present.

-A standard of care must be in place whereby the provider has accepted duty for the patient. -The practitioner has failed to meet a standard of care, also called a 'breach of duty.' -Foreseeability of harm must exist. -A direct connection between care given and injury must be present.

The chief nursing officer (CNO) at an acute care facility has weekly mandatory meetings with all managers and staff members to discuss what is going well, what could be better, and communication from the executive team. This CNO is part of what type of organization? -Traditional -Matrix -Flat -Mission

-Flat

The nurse leader is a change agent and needs to identify factors that lead to resistance of change. Identify the factors of resistance. (Select all that apply.) -Poor timing -Understanding of need for change -Lack of trust -Personal energy needed -Comfort with the current way of completing goals or tasks

-Poor timing -Lack of trust -Personal energy needed -Comfort with the current way of completing goals or tasks

It is important for nurse leaders to establish a trusting relationship with those involved in the change process. -TRUE -FALSE

-TRUE

What information is accurate when describing the Nurse Practice Acts? (Select all that apply.) -They focus on the practice of the professional nurse -They identify actions that fall outside of the nurse's scope of practice -The focus of the acts can vary greatly from state to state -When considering the law, they are an example of a statute -They need to be consistent with applicable federal statures

-They focus on the practice of the professional nurse -They identify actions that fall outside of the nurse's scope of practice -When considering the law, they are an example of a statute -They need to be consistent with applicable federal statures

The charge nurse for a post-op treatment center believes that change needs to take place to make the nursing process smoother and the treatment center safer. The nurse's rationale for making change would include which reasons? (Select all that apply.) -To solve an existing problem -To fill work quotas -To reduce unnecessary workload -To improve staff productivity -To establish leadership power

-To solve an existing problem -To reduce unnecessary workload -To improve staff productivity

The manager of several related departments brings the team together to inform them that they will all be cross training to other units for the purpose of increasing productivity. What form of leadership does this manager demonstrate? -Transactional -Transformational -Contingency theory -Laissez-faire

-Transactional

The nurse acts as the patient advocate with regard to informed consent. -TRUE -FALSE

-TRUE

A nurse leader is working in the ER when a patient presents with a deep head laceration requiring immediate suturing. The nurse leader went to the medical supply area for antibacterial ointments, gloves, and bandages. However, the nurse noticed that the medical supply cabinet was extremely disorganized, so it took much longer than it should have to find the necessary supplies. The next morning, the nurse leader began to ask team members if they had any input regarding the organization of the medical supplies, and then began to brainstorm a few different ideas, such as rearranging the supplies and relabeling items. What is the next stage of change the nurse leader should address? -Design -Integrate -Implement -Plan

-Plan

Which legal act gives patients the right to determine their desired end-of-life care? -Patient's Bill of Rights -Patient Self-Determination Act -Kassebaum-Kennedy Act -Health Insurance Portability and Accountability Act

-Patient Self-Determination Act

The oncology unit has recently experienced a higher-than-normal patient census, which is requiring that nurses to pick up an additional patient. The hospital CFO has indicated that there are no additional funds available to hire additional full-time nurses. As such, the unit manager anticipates some behavioral responses by the stakeholders of change (the nursing staff) within the unfreezing phase. What are some possible behavioral responses? (Select all that apply.) -Anger -Withdrawal -Acceptance -Passivity -Discontentment

-Anger -Withdrawal -Discontentment

As the nursing manager of a unit, which key steps should be performed before implementing a change effort? (Select all that apply.) -Encourage input from team members who would be impacted by the change. -Investigate the magnitude and complexity of the intended change. -Use a roadmap as a guide to complete the change. -Keep track of the pace and stress of the change. -Delay gathering input from team members.

-Encourage input from team members who would be impacted by the change. -Investigate the magnitude and complexity of the intended change. -Use a roadmap as a guide to complete the change.

Decision-making tools such as decision trees or consequence tables are in place to prevent errors in the decision-making process. -TRUE -FALSE

-FALSE

It is important that the nurse understands the difference between controlling a patient's decision and asssisting the patient with an informed decision. -TRUE -FALSE

-TRUE

Which of the following qualities do nurse leaders possess that makes them obtain excellence in their role? a.Ability to provide clear visions, goals, and expectations b.Ability to be a reactive communicator c.Ability to provide occasional constructive feedback d.Ability to act in a positive and reactive manner

a.Ability to provide clear visions, goals, and expectations

A nurse manager must make an important decision regarding a staff member's continued employment on the unit. In order to avoid the pitfalls involved in decision-making, what should the nurse manager do? a.Involve several staff members on the unit to assist with the decision. b.Choose a decision-making style that will best fit the situation. c.Base the decision on the first impression of the staff member. d.Make the decision based on past history.

b.Choose a decision-making style that will best fit the situation.

After attending a health care research seminar, a registered nurse who works in the transplant unit became very interested in the ability of 3D printing to help save lives. The nurse would really like to raise awareness and see the hospital invest in a 3D printer. What are the different technical reasons for resistance that the nurse may encounter? (Select all that apply.) -Budget issues -Unqualified personnel -Lack of resources -Power -Public education

-Budget issues -Unqualified personnel -Lack of resources

Which behaviors by a nurse can result in the suspension or revocation of the nursing license? (Select all that apply.) -Being convicted of professional negligence -A felony conviction for drug use -Failing to report an incident of substandard nursing care -Practicing on an expired nursing license -Conviction for failure to pay court-ordered child support

-Being convicted of professional negligence -A felony conviction for drug use -Failing to report an incident of substandard nursing care -Practicing on an expired nursing license

The term used to identify the omission of doing something that a reasonable person would do, guided by the considerations that ordinarily regulate human affairs is: -Malpractice -Scope of practice -Breach of duty -Negligence

-Negligence

Which of the following are sources conflicts that nurse leaders might face? (Select all that apply.) a.Between members of the health care team b.Patient's support system c.Multigenerational nurses d.Novice and seasoned nurses e.Cultural differences

a.Between members of the health care team b.Patient's support system c.Multigenerational nurses d.Novice and seasoned nurses e.Cultural differences

Which of the following best describes the nurse leader in the role of negotiator? a.Mediates internal or external conflict with various stakeholders b.Resolves internal conflict with all team members c.Focuses on external conflicts that negatively impact the health care delivery system d.Focus is primarily resolving conflict between patient support system and staff

a.Mediates internal or external conflict with various stakeholders

Choose one of the following words to complete this statement: 'Effective leadership in nursing requires the individual to be self-aware in order to ________ the motivation of others.' a.Understand b.Limit c.Inhibit d.Discourage

a.Understand

A nursing staff member who is on a unit committee to bring about a planned change is currently in the integrating phase of change. What activities are associated with the integrating phase? (Select all that apply.) -Assessing how well the new process is accepted and becoming the norm -Asking a lot of questions, such as 'what can be done to overcome barriers? -Investigating the magnitude and complexity of the intended change as it is implemented -Assessing how well the change is working against an established measurement for success -Brainstorming solutions by using your own skills and the skills of those who will be affected by the change.

-Assessing how well the new process is accepted and becoming the norm -Assessing how well the change is working against an established measurement for success

What is the effect on a nurse who experiences a disconnection between personal and organizational values? -Intrapersonal conflict and burnout -Unrealistic expectations -Leads to goal evaluation -Change that leads to effective leadership

-Intrapersonal conflict and burnout

The HIPAA Privacy Rule provides protection for individually identifiable health information on a state level and may differ state by state. -TRUE -FALSE

-FALSE

A nurse manager must be aware of what is happening on the unit to prevent injury to the patient and exposing the staff to a potential malpractice situation. What steps would the nurse manager take to accomplish this? (Select all that apply.) -Assuring adequate staffing. -Providing disciplining those who provide inappropriate care. -Regularly checking the credentials of current nursing staff. -Arranging for relevant staff in-services regarding the operation of equipment. -Personally monitoring the care provided by new nursing staff.

-Assuring adequate staffing. -Providing disciplining those who provide inappropriate care. -Regularly checking the credentials of current nursing staff. -Arranging for relevant staff in-services regarding the operation of equipment.

A new nursing graduate has just started working in a hospital unit that has had difficulty in staff retention. Which type of resistance may be a result of changes that will occur despite the beliefs of the workforce? -Political -Technical -Cultural -Personal

-Cultural

Which steps will help the nurse minimize the risk of nursing malpractice? (Select all that apply.) -Attending relevant continuing education programs to upgrade clinical skills. -Observing all facility policies and procedures when providing care. -Asking each patient to sign an informed consent before care is given. -Periodically reviewing the scope of practice for nurses. -Maintaining liability insurance independent of that provided by the facility.

-Attending relevant continuing education programs to upgrade clinical skills. -Observing all facility policies and procedures when providing care. -Periodically reviewing the scope of practice for nurses. -Maintaining liability insurance independent of that provided by the facility.

A nurse educator determines that the present classroom environment is ineffective in promoting critical thinking. What methods could the educator employ in the classroom to improve critical thinking? (Select all that apply.) -Lecture -Study guides -Case studies -Simulation -Problem-based learning exercises

-Case studies -Simulation -Problem-based learning exercises

According to Marquis and Huston (2021), there are other critical elements that nurse managers/leaders use to complete the decision-making process. From the following choices, select those that are considered crucial to problem solving and decision making. -Clearly define objectives -Carefully gather pertinent data -Develop realistic timeline -Generate one alternative solution -Think logically -Delay making a decision as long as possible

-Clearly define objectives -Carefully gather pertinent data -Develop realistic timeline -Think logically

How can the nurse manager best minimize the personal risk for legal liability? -Creating a work environment that prioritizes patient needs -Possessing a working knowledge of current laws affecting nursing practice -Upholding the enforcement of laws, rules, and regulations affecting patient care -Dealing with all members of the staff and all patients in a nondiscriminatory fashion

-Creating a work environment that prioritizes patient needs

A nursing staff is presently using disposable biopsy forceps in the endoscopy suite, and the nurse manager is questioning the cost-effectiveness of this practice. What would be an appropriate decision-making model to find a cost-efficient solution? -SWOT -Intuitive judgment -Decision grid -Consequence tables

-Decision grid

The nurse is a member of the nursing staff at a hospital that is undergoing significant organizational change. Which factor is the greatest contributor to the resistance encountered with organizational change? -Insufficient staff involvement in the process -Poor organizational leadership -Employee mistrust of management -Ineffective organizational management

-Employee mistrust of management

A nurse explains the informed consent form to a patient who is scheduled for heart bypass surgery. Which elements are considered essential to the effective establishment of informed consent? (Select all that apply.) -Full disclosure of information regarding the procedure -Comprehension of the information by the patient or guardian -Competence of the patient must be determined prior to consent -Information must be provided by a professional nurse -Such consent is not necessary in cases where the focus is clinical research

-Full disclosure of information regarding the procedure -Comprehension of the information by the patient or guardian -Competence of the patient must be determined prior to consent

A nurse has a difficult decision to make regarding patient care. What should the nurse due to influence a positive outcome? (Select all that apply.) -Gather data and input from a variety of sources. -Identify a number of different options. -Understand the repercussions of each option. -Slow down the thinking process -Make a quick decision and act on it immediately

-Gather data and input from a variety of sources. -Identify a number of different options. -Understand the repercussions of each option. -Slow down the thinking process

The Health Insurance Portability and Accountability Act (HIPAA) ensures strong privacy protections for the patient without threatening access to which areas of care? (Select all that apply.) -Health care clearinghouses -Health care plans -Legally reportable information -Exchange of patient information among appropriate health care providers -Sharing of information with family

-Health care clearinghouses -Health care plans -Exchange of patient information among appropriate health care providers

Which of the options below correctly correlate the decision-making model to the nursing process? (Select all that apply.) -Assess: Identify criteria for decision, identify alternatives -Plan: Identify the decision, collect data -Implement: Choose alternative, implement alternative -Evaluate: Evaluate decision-making steps

-Implement: Choose alternative, implement alternative -Evaluate: Evaluate decision-making steps

A few months ago, a new nurse leader at a hospital discovered via evidence-based practice that tablet computers improved accuracy of documentation and decreased patient wait time. The leader noted that these outcomes are beneficial to the facility, staff, and patients, as tablets provide portable access to patient electronic medical records. The nurse leader is currently in the planning stage. Which activities are part of planning stage? (Select all that apply.) -Brainstorming the impact, pros and cons, and potential challenges to implementation with impacted teammates. -Keeping track of the pace and stress of change. -Anticipating resistance to the change by less tech-savvy staff. -Evaluating how the plan unfolds in real-time. -Determining the scope of the change project, a schedule for its implementation, and a budget to submit to administration for approval.

-Anticipating resistance to the change by less tech-savvy staff. -Determining the scope of the change project, a schedule for its implementation, and a budget to submit to administration for approval.

The charge nurse of a step-down unit is implementing a new procedure for charting, which will impact all of the nursing staff. According to Lewin's Model of Change, the 'Movement stage' can be more successful if certain things are considered by the change agent. (Select all that apply.) -Include all stakeholders -Ignore resistance to change -Set target dates -Implement the change -Have flexible target dates

-Include all stakeholders -Set target dates -Implement the change

Choose the legal safeguards nurses can refer to and practice to prevent litigation against them (select all that apply). -Informed consent -Competent practice -Documentation -Risk management programs -Patient bill of rights

-Informed consent -Competent practice -Documentation -Risk management programs -Patient bill of rights

A nursing instructor is discussing ways to improve critical thinking during a clinical rotation with a student. The student asks the nurse what critical thinking is. What is the best response by the nursing instructor? -It is a simple approach to decision making. -It is narrower in scope than decision making. -It requires reasoning and creative analysis. -It is a synonym for the problem-solving process.

-It requires reasoning and creative analysis.

When making a decision about using a prn pool for added staffing, what can the nurse manager do to make the best decision? -Don't question the first impression. -Make a decision and then question the facts. -Get multiple people to give input into the decision. -Make a decision with all of the facts.

-Make a decision with all of the facts.

The director of a busy outpatient department is meeting with staff to ask input and make decisions about the feasibility of a freestanding unit. What issue by the nurse manager can stop the entire process if not rectified? -Keeping the objective and expectations for the group undefined. -Allowing the group to participate in the discussion and be free to voice opinion. -Encouraging each other to have respect for the values of the team. -Having resources available to make informed decisions.

-Keeping the objective and expectations for the group undefined.

The mission of the acute care facility is, 'We are dedicated to creating a healthy community, one person at a time.' What nursing leadership activities would correlate with that mission? (Select all that apply.) -Notifying nursing staff of an upcoming CEU seminar on healthy eating for economically marginalized families -Mentoring a nursing student who is interested in introducing smoking cessation to patients and patient families without being preachy -Mediating a dispute between two nurses about the shift schedule -Reviewing health care provider orders to guarantee the nursing staff is appropriately carrying them out -Placing a staff member on probation for tardiness and excessive break times.

-Notifying nursing staff of an upcoming CEU seminar on healthy eating for economically marginalized families -Mentoring a nursing student who is interested in introducing smoking cessation to patients and patient families without being preachy -Reviewing health care provider orders to guarantee the nursing staff is appropriately carrying them out

A nurse leader has an idea for changing the intake flow in the ER to leverage more of the nursing staff. The leader knows that if they could implement the idea as a pilot program, they could prove its effectiveness and then use it in all the ERs in the region. The nurse leader is frustrated, however, because in order to implement even a pilot of the idea, a proposal must be submitted to the ER Supervisor with a start-to-finish scenario that details not only the process but also the risks, liabilities, and cost estimates. If the supervisor approves, the proposal would then be sent to the Chief Nursing Officer (CNO), who would then send it to the Administrator and Board of Directors for review and approval. Which of these factors are influencing the nurse leader's ability to implement the pilot program? -Organizational mission -Organizational philosophy and values -Organizational structure -State or National standards

-Organizational structure

Which of the following are behaviors associated with effective leaders? -Priority setting, critical thinking, skillful communication -Problem solving, priority setting, self-development -Priority setting, skillful communication, passive listening -Critical thinking, fostering self-improvement, tentative

-Priority setting, critical thinking, skillful communication

A nurse exhibits leadership traits associated with the role of nurse leader. What activities demonstrated by the nurse would demonstrate these leadership traits? (Select all that apply.) a.Mentoring two new managers b.Appointing a successor c.Providing feedback about job performance d.Establishing goals for the coming year e.Advocating for an employee regarding personnel policies f.Providing a motivational speech at the new employee orientation

a.Mentoring two new managers c.Providing feedback about job performance d.Establishing goals for the coming year e.Advocating for an employee regarding personnel policies f.Providing a motivational speech at the new employee orientation

A single parent raising two children and relying on public transportation, is determined to become a registered nurse. What are the restraining forces in this situation? (Select all that apply.) -Relying on public transportation -An advancement in medicine -Being a single mother -Stress of being away from children -Student success center established within the nursing department

-Relying on public transportation -Being a single mother -Stress of being away from children

A nurse makes a decision using intuitive judgment regarding a patient's rapid change in condition. What action should the nurse take after the decision? -Examine alternatives visually and compare each against the same criteria -Quantify information -Plot a decision over time -Use evidence-based data to validate decision

-Use evidence-based data to validate decision

A nurse on a busy medical-surgical unit must delegate some care assignments to an experienced nursing assistant. What factor(s) does the nurse consider before delegating the care to the nursing assistant? -Organizational mission -Organizational philosophy and values -Organizational structure -State or national standards

-State or national standards

A nurse manager is having a difficult time in making a decision about reprimanding a staff nurse who has exceeded the absentee policy. Why would the manager's values cause personal conflict in making this decision? -Some values are not realistic or healthy -Not all values are of equal worth -Values remain unchanged over time -Values often collide with one another

-Values often collide with one another

A nurse manager is holding a meeting to discuss a sensitive issue with the staff. A previous meeting was held regarding the same issue and it ended in a negative manner. What action can the manager take in order to minimize the impact of leader/group style mismatch? -Use a decision-making model. -appoint a leader as a participant -Ensure adequate gender role participation. -Have more extroverts than introverts in the meeting.

-appoint a leader as a participant

A nurse in a leadership role is committed to a vision for retention in the medical-surgical unit and is able to empower others with this vision. What form of leadership is this nurse demonstrating? -Transactional -Transformational -Interactional -Bureaucratic

-Transformational

What must a person giving informed consent for a medical or surgical procedure fully comprehend in order to give informed consent? Select all that apply. -Procedure to be performed -Risks involved -Expected or desired outcomes -Expected complications or potential side effects as a result of procedure. -Nurse's personal opinion about the treatment

-Procedure to be performed -Risks involved -Expected or desired outcomes -Expected complications or potential side effects as a result of procedure.

A nursing staff member in the ED has noted where improvement of a procedure would bring about more efficiency. The staff member wants to share their idea with their supervisor. What would be the best option to facilitate the possibility of change? -Minimize the use of grassroots support from other staff. -Communicate within a vacuum. -Take initiative and implement the change without approval. -Schedule a meeting with your supervisor and submit a concise plan related to your idea for consideration.

-Schedule a meeting with your supervisor and submit a concise plan related to your idea for consideration.

A staff nurse is having difficulty with problem solving in patient care and the nurse manager is counseling the nurse. What suggestions by the nurse manager may assist the staff nurse in improving problem solving skills? (Select all that apply.) -Slow down thinking -Systematize data collection -Override bias -Combine personal and professional feelings -Ask closed-ended questions

-Slow down thinking -Systematize data collection -Override bias

A nurse manager is using the decision-making model 'SWOT' to determine whether it is feasible to add another on-call team in perioperative services. What words does the acronym 'SWOT' represent? -Strengths, Weaknesses, Opportunities, Threats -Superiority, Work, Opportunity, Threats -Strengths, Worth, Options, Timing -Significance, Wellness, Operating, Timing

-Strengths, Weaknesses, Opportunities, Threats

Which statement is true about an incident report? (Select all that apply.) -The document is generally considered confidential. -A disclosed incidence report can be subpoenaed in court. -An entry about the existence of an incident report should be made in the medical record. -The chart should contain all the variables related to the incident. -A copy of the incident report should be attached to the medical record.

-The document is generally considered confidential. -A disclosed incidence report can be subpoenaed in court. -The chart should contain all the variables related to the incident.

What rights do patients have? (Select all that apply.) -The right to respectful care free of discrimination -The right to protection of their privacy -The right to informed consent -The right to inexpensive treatment -The right to end treatment without physician consent

-The right to respectful care free of discrimination -The right to protection of their privacy -The right to informed consent -The right to end treatment without physician consent